Bailey, Susan A
Bailey, Susan A is an individual health care provider with primary practice located at 116 Hills Plz , Charleston WV 25387-2438. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bailey, Susan A can be contacted via phone (304) 720-4466.Contact Information
Primary practice address
116 Hills Plz
Charleston WV 25387-2438
Phone: (304) 720-4466
Fax: (304) 720-4821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2459 | West Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2459 | West Virginia |
Profile Details
| NPI number | 1174164115 |
|---|---|
| LBN Legal business name | Bailey, Susan A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2019 |
| Last updated | Jun 19th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174164115 | NPPES |
| West Virginia | MEDICAID | 1174164115 |
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